# EASTERNSHORE OBGYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356416879
- **Authorized official:** MITZI M CHILDS MD (PHYSICIAN)
- **Authorized official phone:** (251) 928-4113

## Contact information

- **Practice address:** 8552 MORPHY AVE, FAIRHOPE, AL 36532-3696
- **Practice address phone:** (251) 928-4113
- **Practice address fax:** (251) 928-7177
- **Mailing address:** PO BOX 1134, FAIRHOPE, AL 36533-1134
- **Mailing address phone:** (251) 928-4113
- **Mailing address fax:** (251) 928-7177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 08/22/2020